Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $467.74	Facility		$234.42	$354.81	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $19,498.45 / $37,153.52	Facility		$18,620.87	$19,498.45	$37,153.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $363.08 / $467.74	Facility		$213.80	$363.08	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $323.59 / $346.74	Facility		$281.84	$323.59	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $9,120.11	Facility		$7,244.36	$7,244.36	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95